Cellular and Wireless Services Order

Contact Information

Name*

First Last

Campus Unit*

Department, Division, School or College

Email*

Phone*

User Information

Name*

First Last

Email*

Phone*

UBR/Billing information

UBR Name*

First Last

UBR Email*

View a UBR list A UBR must authorize purchase.

Full Funding String (UDDS)*

Enter the fund, organization, and activity/program numbers

Project Number

Type of Service/Request*

Apple iPad Order Information

Please Describe:*

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Delivery Instructions:*

Justification for iPad Purchase*

Date Needed*

Aircard/Wireless Modem Order Information

Please Describe:

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Delivery Instructions:*

Justification for Aircard/Wireless Modem Purchase*

Date Needed*

Cellular Change Plan Request

Phone Number*

Current cellular plan*

New cellular plan request*

Reason for Request*

Telecommunications staff will review and determine if desired plan is appropriate. If the plan is approved, a notification will be sent to you and your UBR(Unit Business Representative). Note: There is no penalty or charge to charge plans other than the change in your monthly service charges.

If you have questions, contact Telecommunications at uwm-wireless@uwm.edu or call 414-229-5383.

Cellular Phone Disconnect Request

Cell Phone Number*

Disconnect Date*

New Cellular Service Authorization Request

The UWM U.S. Cellular Authorization Request includes information required under the state of Wisconsin Enterprise Policy on Cellular Telephone Services and Equipment. School/College/Division authorization has also been incorporated into the ordering process. This online order form will be transmitted to your Unit Business Representative (UBR) at the same time it is sent to UITS. UITS will log your order and will place the final order once the authorization is provided by your UBR. If you have questions about the information required on the form or the authorization process, contact your UBR, or Telecommunications staff at uwm-wireless@uwm.edu or by phone 414-229-5383.

Order Item*

Current Cell Phone Number*

Service Plan*

If Other: Please provide further detail:*

Note: If other service plan is needed, please contact uwm-wireless@uwm.edu for additional plans available.

Type of Equipment*

If Other: Please provide further detail*

Do you want voice mail on the cellular phone?*

Yes
No

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Date Needed*

Please allow at least one week for order and delivery.

Initial*

I have read and understand the terms in the policy for state cellular use and will provide a signed cellular policy acknowledgment form to my UBR (Unit Business Representative).

Other/Funding Change

Please Describe: